Daniel V Johnson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D13095 Issued in MN

Practice address

1575 20TH St NW Ste 102
Faribault, MN 55021-2932

Phone

(507) 334-5433

NPI assigned

Apr 27, 2012

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southern Heights Dental Group PA

  • General Practice Dentistry
  • Faribault, MN
  • NPI 1932247921
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510012800000",
    "number": "1639437650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 RIVER VISTA ROW",
            "address_2": "UNIT 136",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921117463",
            "telephone_number": "701-238-4306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 20TH ST NW STE 102",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550212932",
            "telephone_number": "507-334-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DANIEL",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-27",
        "last_updated": "2017-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D13095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dyan Marie Jacobson, PHYSICALTHERAPISTMPT
• Paul Kenneth Jacobson, M.D.
• Sarah Ann Jentink
• Brenda J Jirik, LICSW
• Jaime Johns
• Kelly Liana Jones
• Krystine Michelle Kaiser, D.C.
• Thomas Jay Kaiser, MD
• Nathan Kalstad, DC
• David Michael Karim, MBA, MSW, LCSW

• General Practice Dentistry in Faribault, MN
• Providers in Faribault, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.